Howell Raelina S, Shah Shrey, Khan Saila, Brathwaite Collin E M, Petrone Patrizio, Levine Jun
Department of Surgery, NYU Langone Hospital-Long Island, New York, USA.
J Surg Case Rep. 2023 Feb 6;2023(2):rjad030. doi: 10.1093/jscr/rjad030. eCollection 2023 Feb.
Gastric bypass has grown in popularity in recent years due to its high efficacy in achieving long-term weight loss in patients with morbid obesity. Gastric bypass has been described to further exacerbate baseline nutritional deficiencies due to reduced gastric capacity and malabsorption. In rare cases, when protein deficiency is severe, Kwashiorkor disease may arise. The incidence of Kwashiorkor specifically following gastric bypass is rare, with an incidence of 4.7%. We report a case of a female patient who underwent a gastric bypass and subsequently developed Kwashiorkor. Physicians' suspicion of index for Kwashiorkor should be high for patients presenting with signs or symptoms of severe malnutrition following weight-loss procedures.
近年来，胃旁路手术因其在病态肥胖患者实现长期体重减轻方面的高效性而越来越受欢迎。胃旁路手术因胃容量减少和吸收不良而被认为会进一步加重基线营养缺乏。在罕见情况下，当蛋白质缺乏严重时，可能会出现夸希奥科病。胃旁路手术后发生夸希奥科病的情况罕见，发病率为4.7%。我们报告一例接受胃旁路手术并随后患上夸希奥科病的女性患者。对于减肥手术后出现严重营养不良体征或症状的患者，医生对夸希奥科病的怀疑指数应较高。
